Vanessa Jane Shank in Elizabethtown - General Practice
Vanessa Jane Shank - NPI 1053394940
Vanessa Jane Shank is a General Practice in Elizabethtown, Kentucky. Vanessa Jane Shank practices all healthcare services and medical treatments related to General Practice. The NPI Number for Vanessa Jane Shank is 1053394940. The last update date is 2014-11-13.
Vanessa Jane Shank's current location address is 175 Mary Lee St, Elizabethtown, Kentucky. You can contact this provider via phone number 8598399906. The mailing address for Vanessa Jane Shank is 175 Mary Lee St, Elizabethtown, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vanessa Jane Shank |
|---|---|
| Address | 175 Mary Lee St, Elizabethtown, Kentucky |
| Phone Number | 8598399906 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1053394940 |
|---|---|
| Provider Enumeration Date | 2005-11-23 |
| Last Updated Date | 2014-11-13 |
Provider Mailing Address Detail
| Address | 175 Mary Lee St |
|---|---|
| City | Elizabethtown |
| State | Kentucky (KY) |
| Post Code | 427014481 |
| Phone Number | 8598399906 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 01056852A |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 01056852A | IN | GENERAL PRACTICE |
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What is the unique provider identifier assigned to Vanessa Jane Shank?
The Vanessa Jane Shank has been issued the NPI (National Provider Identifier) 1053394940 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Vanessa Jane Shank located?
The Vanessa Jane Shank is located at 175 Mary Lee St, Elizabethtown, KY 427014481.
What is the Vanessa Jane Shank's specialty and taxonomy code?
The Vanessa Jane Shank's specialty is General Practice, and the corresponding taxonomy code is 208D00000X.
When did the Vanessa Jane Shank receive its 1053394940?
The Vanessa Jane Shank was issued its 1053394940 on 2005-11-23, which is the date when the organization was assigned this unique identifier.
When was the information regarding Vanessa Jane Shank most recently updated?
The details pertaining to the Vanessa Jane Shank, including its address, specialty, and other relevant information, were last refreshed on 2014-11-13.